Provider Demographics
NPI:1407526502
Name:NEAL, ALANNA G (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:G
Last Name:NEAL
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 CARRIAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:RUSTBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24588-4803
Mailing Address - Country:US
Mailing Address - Phone:434-942-2408
Mailing Address - Fax:434-266-0583
Practice Address - Street 1:1024 CARRIAGE PKWY
Practice Address - Street 2:
Practice Address - City:RUSTBURG
Practice Address - State:VA
Practice Address - Zip Code:24588-4803
Practice Address - Country:US
Practice Address - Phone:434-942-2408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
VA0133003005103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician